Transplant Hepatology EHR and AI Medical Billing Software

Transplant hepatologists care for patients with advanced liver disease before and after transplant. XEHR keeps scores, labs, imaging and medicines together and every visit on a clean claim.

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Chart · Office visit

Lastname, Firstname M. Sample patient · DOB 01/01/1980 · Commercial

Eligible

BP128/82

HR72

BMI26.4

Temp98.6

Progress noteAI Scribe draft

Cirrhosis follow-up; new ankle swelling and confusion at night.

K74.60 Unspecified cirrhosis of liver

ReviewSign note

Diagnosis carried to the claimK74.60

THE HARD PARTS

What makes transplant hepatology billing hard

Scores that change every few weeks

Severity scores and labs decide priority for transplant, so they have to be current and easy to read.

Evaluation with many parts

Transplant evaluation involves tests, consults and social review that must all be documented before listing.

Lifelong medicines after transplant

Immunosuppression needs regular levels and dose changes, and the drugs need approvals.

WHERE THE WORK HAPPENS

How transplant hepatology care is delivered and billed

Transplant hepatologists work in specialty clinics tied to a transplant center and in the hospital, where many of their patients are admitted with complications of cirrhosis. Clinic and hospital visits are billed on the professional claim with their own places of service. Transplant evaluation and post-transplant care follow program rules and payer requirements, and much of the work is coordination with surgeons, nephrology, infectious disease and social work.

What payers check on transplant hepatology claims

Cirrhosis is coded by cause where it is known, and complications such as ascites or encephalopathy are coded separately.
Liver cancer surveillance imaging is covered at intervals payers define for patients with cirrhosis.
Immunosuppression drugs after transplant are covered under specific rules that depend on how the transplant was paid for.
Transplant status codes are reported with the condition treated at the visit.
Hospital visits are billed with the hospital place of service and a level supported by the note.

Common transplant hepatology diagnoses ICD-10-CM

K74.60	Unspecified cirrhosis of liver
K70.30	Alcoholic cirrhosis of liver without ascites
K75.81	Metabolic dysfunction-associated steatohepatitis (MASH)
C22.0	Liver cell carcinoma
Z94.4	Liver transplant status
T86.41	Liver transplant rejection

Examples only. The provider chooses the code that matches the documented diagnosis, and XEHR checks it against the note and the payer's rules before the claim goes out.

A VISIT ON XEHR

A transplant hepatology visit, start to payment

1
Check the numbers

Liver tests, kidney function and severity scores are trended before the visit.
2
Manage complications

Fluid, confusion, bleeding risk and cancer surveillance are documented with the plan for each.
3
Move the evaluation forward

Outstanding evaluation items are visible on the chart and ordered from it.
4
Bill and coordinate

Visits go out on checked claims; referrals and results are shared with the transplant team.

How XEHR helps

From the transplant hepatology visit to the payment

Labs and scores trendedLiver tests and scores are trended in the chart so changes are visible at every visit.
Evaluation as a checklistEvery part of the transplant evaluation is tracked to completion in the patient’s record.
Drug levels and approvalsImmunosuppression levels and approvals are tracked with their dates.
AI that waits for youThe AI drafts notes and prepares claims; your providers sign and your billers approve.

Claim · CMS-1500

Sample claimLastname, Firstname M. · DOS 03/04/2026

Scrub passed

Scrubbed
Submitted
Accepted
Paid

Service	Dx	Units	Charge
Office visit	E11.9	1	145.00
A1c test	E11.9	1	28.00
Total			173.00

ERA postedPayment applied, no re-keying

Agentic AI for transplant hepatology

AI medical billing for transplant hepatology practices

XEHR is an agentic EHR: AI agents do the administrative work around every transplant hepatology visit, and your team approves what matters. How agentic AI works

Before the claim leaves

The claim-check agent looks for

Cirrhosis is coded by cause where it is known, and complications such as ascites or encephalopathy are coded separately.
Liver cancer surveillance imaging is covered at intervals payers define for patients with cirrhosis.
Immunosuppression drugs after transplant are covered under specific rules that depend on how the transplant was paid for.
Transplant status codes are reported with the condition treated at the visit.

Around the visit

Agents run on their own

Coverage checked before each transplant hepatology visit
The visit note drafted for the provider to sign
Insurance payments matched and posted
Open claims tracked, denials read and appeals drafted

People decide

Your team stays in charge

Providers sign every note
Billers approve every claim and appeal
Staff submit prior authorizations
Any check can be overridden, with a reason

BUYER'S GUIDE

Questions to ask before you choose a transplant hepatology EHR

Ask every vendor, including us. The answers show whether a system was built for transplant hepatology work or only adapted to it.

Ask us on a demo

Are liver tests and severity scores trended at every visit?
Can every transplant evaluation item be tracked to completion?
Are immunosuppression levels and dose changes documented with reasons?
Is liver cancer surveillance scheduled at the right interval?
Can clinic and hospital work be billed from the same record?

QUESTIONS

Transplant Hepatology practices ask us

Does XEHR support liver transplant programs?

Yes. Evaluation, listing documentation and post-transplant follow-up are kept in one record.

Can XEHR track immunosuppression levels?

Yes. Drug levels are trended and dose changes are documented with the reason.

Does XEHR help manage cirrhosis complications?

Yes. Surveillance imaging, endoscopy and fluid procedures are tracked and documented in the same chart.

Can hepatologists bill hospital consults from XEHR?

Yes. Inpatient care is billed with the hospital place of service from the same record.

Can XEHR record social work and nutrition evaluations?

Yes. Team members document their evaluations in the same chart.

Does XEHR support hepatitis C treatment?

Yes. Labs, prescriptions and approvals are documented and tracked.

Can XEHR coordinate with the transplant surgeon?

Yes. Notes and referrals are shared from the same record.

How much does XEHR cost for a transplant hepatology practice?

Pricing is published: $189 per provider per month for the Clinical plan, $449 per provider per month for the Practice Suite with billing, or 2.5% of collections for RCM as a Service. Month-to-month, with a BAA on every plan. See pricing.

How long does it take a transplant hepatology practice to go live?

Small practices are usually live in 2 to 4 weeks, including setup, data migration and training. We agree the plan with you before you sign.

Related specialties

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See XEHR set up for transplant hepatology

A 30-minute walkthrough on a live test environment, with your specialty's templates and billing.

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